NCLEX Review - Health Promotion: Toddler & Preschooler
Quiz
A mother brings her 18-month-old to the clinic because the child "eats ashes, crayons, and paper." Which of the following about the toddler would the nurse assess first?
Evidence of eruption of large teeth.
Amount of attention from the mother
Any changes in the home environment.
Intake of a soft, low-roughage diet.
When assessing a 2-year-old child brought by his mother to the clinic for a routine checkup, which of the following would the nurse expect the child to be able to do?
Ride a tricycle.
Tie his shoelaces.
Kick a ball forward.
Use blunt scissors
A 2½-year-old child brought to the clinic by her parents is uncooperative when the nurse tries to look in her ears. Which of the following would the nurse try first?
Ask another nurse to assist.
Allow a parent to assist.
Wait until the child calms down.
Restrain the child's arms.
When observing the parent instilling prescribed ear drops ordered twice a day for a toddler, the nurse decides that the teaching about positioning of the pinna for instillation of the drops is effective when the parent pulls the toddler's pinna in which of the following directions?
Up and forward.
Up and backward.
Down and forward.
Down and backward.
The mother asks the nurse for advice about discipline for her 18-month-old. Which of the following would the nurse suggest that the mother use first?
Structured interactions.
Spanking.
Reasoning.
Time out.
When assessing for pain in a toddler, which of the following methods would be the most appropriate?
Ask the child about the pain.
Observe the child for restlessness.
Use a numeric pain scale.
Assess for changes in vital signs.
When planning a 15-month-old toddler's daily diet with the parents, which of the following amounts of milk would the nurse include?
½ to 1 cup.
2 to 3 cups.
3 to 4 cups.
4 to 5 cups.
The mother of a 4-year-old expresses concern that her child may be hyperactive. She describes the child as always in motion, constantly dropping and spilling things. Which of the following actions would be most appropriate at this time?
Determine whether there have been any changes at home.
Explain that this is not unusual behavior.
Explore the possibility that the child is being abused.
Suggest that the child be seen by a pediatric neurologist.
The mother of a preschooler reports that her child creates a scene every night at bedtime. The nurse and the mother decide that the best course of action would be to do which of the following?
Allow the child to stay up later one or two nights a week.
Establish a set bedtime and follow a routine.
Encourage active play before bedtime.
Give the child a cookie if bedtime is pleasant.
The parents of a preschooler ask the nurse how to handle their child's temper tantrums. Which of the following would the nurse include in the teaching plan? Select all that apply.
Putting the child in "time-out."
Telling the child to go to the bedroom.
Ignoring the child.
Spanking the child.
After teaching a group of parents of preschoolers attending a well-child clinic about oral hygiene and teeth brushing, the nurse determines that the teaching has been successful when the parents state that children can begin to brush their teeth without help at which of the following ages?
3 years.
5 years.
7 years.
9 years
After having a blood sample drawn, a 5-year-old child insists that the site be covered with an adhesive bandage strip. When the mother tries to remove the bandage before leaving the office, the child screams that all the blood will come out. The nurse interprets this behavior as indicating a fear of which of the following?
Injury.
Compromised body integrity.
Pain.
Loss of control.
A mother is concerned because her 5-year-old son seems prone to minor accidents such as skinning his elbows and knees and falling off his scooter. The nurse explains to the mother that childhood accidents are more likely to occur in which of the following situations?
The child is the sole child in the family.
The family has limited formal education.
The family is experiencing changes.
The child and family live in the suburbs.
When developing the teaching plan for the mother of a preschooler about illness, which of the following would the nurse expect to include about how a preschooler perceives illness?
A necessary part of life.
Test of self-worth.
Punishment for wrongdoing.
The will of God.
The nurse asks a 9-year-old child and mother about the child's best friend to assess which of the following about the child?
Language development.
Motor development.
Neurologic development.
Social development.
A 10-year-old child proudly tells the nurse that brushing and flossing her teeth is her responsibility. The nurse interprets this statement as indicating which of the following about the child?
She is too young to be given this responsibility.
She is most likely capable of this responsibility.
She should have assumed this responsibility much sooner.
She is probably just exaggerating the responsibility.
The mother tells the nurse that her 8-year-old child is continually telling jokes and riddles to the point of driving the other family members crazy. The nurse explains that this behavior is a sign of which of the following?
Inadequate parental attention.
Mastery of language ambiguities.
Inappropriate peer influence.
Excessive television watching
The mother asks the nurse about her 9-year-old child's apparent need for between-meal snacks, especially after school. When developing a sound nutritional plan for the child with the mother, which of the following would the nurse need to keep in mind?
The child does not need to eat between-meal snacks.
The child should eat the snacks the mother thinks are appropriate.
The child should help with preparing his or her own snacks.
The child will instinctively select nutritional snacks.
When a child's height and weight are compared with standard growth charts, the child is found to be in the 85th percentile for height and in the 45th percentile for weight. The nurse interprets these findings as indicating which of the following?
Average height and weight.
Overweight for height.
Underweight for height.
Abnormal in height.
When preparing a teaching plan for the parents of a group of 4- to 6-year-old children about recommended immunizations for school entrance, the nurse would expect to include which of the following?